4 sick with campy linked to raw milk served at Royal Welsh Show

In 2013, at least 50 people, mainly children, became ill with E coli O157 at the Ekka, Queensland, Australia’s version of the state fair.

It starts again on Friday, and because organizers have done little except to encourage people to wash their hands, we won’t be going.

Handwashing is never enough.

Manure from ruminants is easily aerosolized in these environments, and I’ve been to many human-animal interaction events for research, and there is shit everywhere.

Although ostensibly designed to promote understanding of food production, these agricultural celebrations rarely discuss risk – until an outbreak happens.

The motto seems to be: It’d be better for us if you don’t understand.

Now, four people have been sickened with Campylobacter linked to unpasteurised or raw cow’s milk from Penlan y Môr farm near New Quay, Ceredigion and sold at the Royal Welsh Show.

Public Health Wales says the four cases all consumed or bought the milk at Aberystwyth Farmer’s Market after June 1.

But visitors to the Royal Welsh Show in Builth Wells may also have sampled or bought the milk which was available there on Wednesday, 26 July.

A table of animal-human-interaction outbreaks is available at http://www.barfblog.com/wp-content/uploads/2017/08/Petting-Zoo-Outbreaks-Table-7-26-17.xlsx

Erdozain G, Kukanich K, Chapman B, Powell D. 2012. Observation of public health risk behaviours, risk communication and hand hygiene at Kansas and Missouri petting zoos – 2010-2011. Zoonoses Public Health. 2012 Jul 30. doi: 10.1111/j.1863-2378.2012.01531.x. [Epub ahead of print]

Observation of public health risk behaviors, risk communication and hand hygiene at Kansas and Missouri petting zoos – 2010-2011Outbreaks of human illness have been linked to visiting settings with animal contact throughout developed countries. This paper details an observational study of hand hygiene tool availability and recommendations; frequency of risky behavior; and, handwashing attempts by visitors in Kansas (9) and Missouri (4), U.S., petting zoos. Handwashing signs and hand hygiene stations were available at the exit of animal-contact areas in 10/13 and 8/13 petting zoos respectively. Risky behaviors were observed being performed at all petting zoos by at least one visitor. Frequently observed behaviors were: children (10/13 petting zoos) and adults (9/13 petting zoos) touching hands to face within animal-contact areas; animals licking children’s and adults’ hands (7/13 and 4/13 petting zoos, respectively); and children and adults drinking within animal-contact areas (5/13 petting zoos each). Of 574 visitors observed for hand hygiene when exiting animal-contact areas, 37% (n=214) of individuals attempted some type of hand hygiene, with male adults, female adults, and children attempting at similar rates (32%, 40%, and 37% respectively). Visitors were 4.8x more likely to wash their hands when a staff member was present within or at the exit to the animal-contact area (136/231, 59%) than when no staff member was present (78/343, 23%; p<0.001, OR=4.863, 95% C.I.=3.380-6.998). Visitors at zoos with a fence as a partial barrier to human-animal contact were 2.3x more likely to wash their hands (188/460, 40.9%) than visitors allowed to enter the animals’ yard for contact (26/114, 22.8%; p<0.001, OR= 2.339, 95% CI= 1.454-3.763). Inconsistencies existed in tool availability, signage, and supervision of animal-contact. Risk communication was poor, with few petting zoos outlining risks associated with animal-contact, or providing recommendations for precautions to be taken to reduce these risks.

Best practices for planning events encouraging human-animal interactions

Zoonoses and Public Health

G. Erdozain , K. KuKanich , B. Chapman  and D. Powell

http://onlinelibrary.wiley.com/doi/10.1111/zph.12117/abstract?deniedAccess

Educational events encouraging human–animal interaction include the risk of zoonotic disease transmission. It is estimated that 14% of all disease in the US caused by Campylobacter spp., Cryptosporidium spp., Shiga toxin-producing Escherichia coli (STEC) O157, non-O157 STECs, Listeria monocytogenes, nontyphoidal Salmonella enterica and Yersinia enterocolitica were attributable to animal contact. This article reviews best practices for organizing events where human–animal interactions are encouraged, with the objective of lowering the risk of zoonotic disease transmission.

Rare chicken hooks UK food porn-types, the country that gave the world mushy peas and mad cow disease: It’s a Salmonella/Campy shit-storm waiting to happen

Just when you thought you’d seen every possible bizarre foodie trend on Instagram, a truly stomach-churning craze comes along to surprise you.

Siofra Brennan of the Daily Mail writes people have been sharing images of their ‘juicy and tender’ meals of medium rare chicken, claiming it’s the best possible way to enjoy the meat, but their claims certainly haven’t gone down well with the masses. 

People have described the craze as ‘salmonella waiting to happen’ with one stating that there’s a ‘special place reserved in hell’ for people who don’t cook their chicken properly. 

However, fans are absolutely insistent that it’s the best way to eat the poultry with one declaring that if you’re not having your chicken medium rare, ‘you’re doing it wrong’.  

People seem particularly keen to find out what firebrand chef Gordon Ramsay thinks of the debacle, frantically tweeting him images of the offending dishes to get his opinion.

His thoughts remain, as yet, unknown.  

(Who gives a fuck?)

Earlier this year Australian Morgan Jane Gibbs found worldwide notoriety with a Facebook snap of a plateful of very pink pieces of chicken with the caption: ‘Just made chicken medium rare chicken strips.

‘They’re so good can’t believe I’ve never tried it like this before,’ she said. 

‘Can’t wait to dig into this with my homemade salad and veges. #healthy #newyearsresolution #clean #cleaneating’

Unsurprisingly the post has gained notoriety online as people tried to figure out if Ms Gibbs is being serious with her nauseating dish.

While the post by Ms Gibbs was most likely a joke, the image itself was of a legitimate dish, origination from a blog promoting tourism in the Japanese region of Shizuoka and the recipe for chicken tataki; chicken seared over hot coals and served raw.

Chicken sashimi is another Japanese dish where the bird is served raw, chefs manage to avoid the issue of pesky food poisoning by serving the meat as fresh as possible and raising the chickens in a hygienic environment.

That’s some microbiological poultry manure (check your organic garden).

To avoid the risk of food poisoning, the NHS recommends that chicken must be cooked through so that the meat is ‘no longer pink, the juices run clear and it’s steaming hot throughout.’ 

No wonder the UK is messed up about chicken, the government-types can’t get advice right.

Use a thermometer and stick it in.

Campy on the risin’ risin’

Lyrics to the Doors’ song below are sorta dumb, but a great guitar solo that still sends shivers up and down my spine. And Campy, it keeps on risin.’

Campylobacter is the most frequently occurring cause of bacterial gastroenteritis in Europe. Unlike other zoonotic diseases, European-wide incidences of Campylobacter infections have increased during the past decade, resulting in a significant disease burden. In Denmark, campylobacteriosis is notifiable by laboratory and a unique registration system of electronic transfer and storage of notified Campylobacter cases linked to the national person register of age, gender and geographical location allows collection of comprehensive case data.

Using national surveillance data, we describe Campylobacter infections in Denmark from 2000 to 2015, focusing on age-specific incidences, geography, seasonality and outbreaks. During the observed period, a total of 60,725 Campylobacter infections were registered with a mean annual incidence of 69.3 cases/100,000 population. From 2000 to 2014, the incidence of campylobacteriosis decreased by 20%, followed by an apparent increase of 20% from 2014 to 2015. Approximately one-third of cases were travel-related. Incidences were highest in males, young adults aged 20–29 years and children under 5 years of age. Generally, children under 10 years of age living in rural areas were at higher risk of infection. Infection patterns were seasonal with an increase from May to October, peaking in August. Outbreaks were identified each year, including four large waterborne outbreaks which all occurred following heavy rainfall events. For the most part, patterns of Campylobacter infection in Denmark during 2000 to 2015 remained remarkably constant and followed what is known about the disease with respect to demographic, temporal and spatial characteristics.

To establish better targeted prevention and control measures, the current knowledge gaps regarding both Campylobacter microbiology (degree of clonal diversity and clustering) and the importance of different risk factors (food versus environment/climate) need to be filled.

Epidemiology of campylobacteriosis in Denmark 2000–2015

Zoonoses and Public Health

G. Kuhn, E. M. Nielsen, K. Mølbak, S. Ethelberg

DOI: 10.1111/zph.12367

http://onlinelibrary.wiley.com/doi/10.1111/zph.12367/abstract;jsessionid=B1876B46881FE2313CB2972DF3AA7AD3.f04t01

Citizen science: Using socks to sample environmental pathogens

This paper introduces a novel method for sampling pathogens in natural environments. It uses fabric boot socks worn over walkers’ shoes to allow the collection of composite samples over large areas. Wide-area sampling is better suited to studies focusing on human exposure to pathogens (e.g., recreational walking).

This sampling method is implemented using a citizen science approach: groups of three walkers wearing boot socks undertook one of six routes, 40 times over 16 months in the North West (NW) and East Anglian (EA) regions of England.

To validate this methodology, we report the successful implementation of this citizen science approach, the observation that Campylobacter bacteria were detected on 47% of boot socks, and the observation that multiple boot socks from individual walks produced consistent results. The findings indicate higher Campylobacter levels in the livestock-dominated NW than in EA (55.8% versus 38.6%). Seasonal differences in the presence of Campylobacter bacteria were found between the regions, with indications of winter peaks in both regions but a spring peak in the NW. The presence of Campylobacter bacteria on boot socks was negatively associated with ambient temperature (P = 0.011) and positively associated with precipitation (P < 0.001), results consistent with our understanding of Campylobacter survival and the probability of material adhering to boot socks. Campylobacter jejuni was the predominant species found; Campylobacter coli was largely restricted to the livestock-dominated NW. Source attribution analysis indicated that the potential source of C. jejuni was predominantly sheep in the NW and wild birds in EA but did not differ between peak and nonpeak periods of human incidence.

Novel sampling method for assessing human-pathogen interactions in the natural environment using boot socks and citizen scientists, with application to campylobacter seasonality

Applied and Environment Microbiology, July 2017, vol. 83, no. 14, Natalia R. Jonesa, Caroline Millmanb, Mike van der Esc, Miroslava Hukelovab, Ken J. Forbesd, Catherine Glovere, Sam Haldenbyf, Paul R. Hunterc, Kathryn Jacksonf, Sarah J. O’Brieng, Dan Rigbyb, Norval J. C. Strachanh, Nicola Williamse, Iain R. Lakea, doi: 10.1128/AEM.00162-17

http://aem.asm.org/content/83/14/e00162-17.abstract?etoc

Tough mudders and cyclists, beware the agri-land: Outbreaks amongst participants in Norway, Scotland

NRK reports that some 50 of 300 participants became sick with Campylobacter in a cycling event in Norway.

Competitors at the start of the 2015 Tough Mudder Scotland at Drumlanrig Castle, Dumfries and Galloway

Earlier, several people were stricken by E. coli O157 in a tough mudder event which was held at Drumlanrig Castle in Scotland on June 17 and 18.

These outbreaks follow previous, numerous outbreaks involved with playing in mud.

In Norway, the reason why the cyclists have become so bad is because animal wreckage resolved after a heavy rainfall and remained in the road. This has again sprung up on the cyclists.

“Especially if the stool is fresh and there are large amounts of water, it can sprinkle on drinking bottles and hands so you get it when you drink,” said Tor Halvor Bjørnstad-Tuveng, to NRK (something may be lost in translation).

“We have been in dialogue with the management of the race, and we have some concrete measures that we will look at. We have been very unlucky with the rides of the year, but we must definitely look at what we can do to prevent it happening again, “says Bjørnstad-Tuveng.

Per Stubban was one of those who had to go to the hospital for intravenous nutrition.

“Now I’m on my way, but there have been some tough days. Next time I will not use a handheld drink bottle, but a drinking bag, and if there is as much rain as it was now, I would probably be skeptical to start, “he said.

Participants in an endurance event at a Scottish castle have been warned to look out for symptoms of E. coli O157 after it was identified among those who took part.

NHS Dumfries and Galloway said “a small number of cases” of the bacteria have been found in those involved in the Tough Mudder event at Drumlanrig Castle last month.

It has advised anyone associated with the event who experiences symptoms to seek medical advice.

A spokesman for the health board said: “NHS Dumfries and Galloway can confirm that we are aware of a small number of cases of E.coli O157 across Scotland that appear to be associated with participation in the Tough Mudder event which was held at Drumlanrig Castle on June 17 and 18.

“Any activity undertaken on agricultural land inevitably involves a small risk of gastrointestinal infection.”

A spokesman for the event said: “The safety of Tough Mudder participants, spectators, volunteers and staff is our number one priority.

Uh-huh.

UK woman embraces life after Campylobacter infection forces her to wear two stoma bags

Rachel Jury, 30, is determined to show how users can still live life to the full despite the two stoma bags she is forced to wear after food poisoning from cooked chicken nine years ago triggered a long-term health condition.

Tara Russell of the Daily Echo reports Jury’s rare condition, autonomic neuropathy, has left her bowel and bladder both failing and she has endured years of ill health including frequent bouts of sepsis and even cardiac arrest as a result.

However she is grateful to the two bags for saving her life – a urostomy bag for diverting urine from the body and an ileostomy bag for faeces nicknamed Squirt and Bob. Now she has launched a social media campaign calling on others to share pictures proudly flaunting their bags to reduce taboos and stigma.

Rachel, from Boscombe, who has created a poster of the pictures, said: “We have bravely bared all to raise awareness and knowledge of stoma bags but especially urostomies because there is a lack of awareness and knowledge among the general public and medical professions about them. We are often the forgotten group of the stoma family.

“We want to show you can still live a life and love your body. I want to help others celebrate their bodies no matter what they look like.

“We are beautiful, we are brave, we are warriors, we are survivors of our diseases.”

The former radiotherapy student believes a bad case of food poisoning may have triggered her condition nine years ago.

She explained: “I contracted campylobacteriosis from already cooked chicken purchased in a well-known supermarket chain.

“Little did I know then that this moment would be the catalyst that triggered a chain reaction of multiple organ systems failing. From that day onwards my life would never be the same again.

“Having a stoma bag can cause huge struggles with body image and they can be a taboo. I used to hide under dark baggy clothes but I realised they are something to be proud of, not ashamed of. They are part of us though and we wouldn’t be here without our bags.

“I feel like I’ve been through a lot but I feel I want to turn the negative into something positive.

“I am proud of the body that has kept me alive and I want to urge others to not be ashamed.

“I live one day at a time. I don’t know how long I have but I will live each day to the maximum and if I help one person I will have done my job.”

For information go to Rachel’s blog rocking2stomas.co.uk

I don’t go to restaurants much anymore: Too many fake beliefs, not enough science

Beginning in April, 2011, 190 people were sickened with Salmonella Heidelberg linked to partially-cooked chicken livers throughout six U.S. states.

There have been endless outbreaks, especially of Campylobacter in the UK linked to similar products.

Stephen Luscombe, who runs the Golden Ball in Lower Assendon, UK, admitted serving undercooked calves’ liver in 2015.

Two diners suffered food poisoning and others suffered symptoms after eating a dish containing the meat at the restaurant.

Luscombe was fined £4,434, ordered to pay £5,284 costs and a victim surcharge of £120. 

Luscombe admitted serving food on the premises that was unsafe as it had been inadequately cooked and failing to implement and maintain legally required food safety procedures, including those for the safe cooking of high risk foods. 

Magistrates heard South Oxfordshire District Council, the environmental health authority, was asked to investigate after a member of the public suffered campylobacter food poisoning after eating at the restaurant.

Environmental health officers carried out an immediate unannounced inspection and found that the diners had been offered a set menu including calves’ liver for the main course.

They found the calves’ liver had been cooked at too low a temperature.

The restaurant was found to have no protocol to ensure high risk items, such as liver, were cooked according to recommendations from the Food Standards Agency.

It also failed to complete required monitoring records for almost three months, meaning it was failing to meet its legal requirements for food safety. 

It’s only water safety but I like it: Chlorine is a friend, multiple failings in NZ campy-in-water outbreak that sickened 5500 and killed 3

On Sunday, May 21, 2000, at 1:30 p.m., the Bruce Grey Owen Sound Health Unit in Ontario (that’s in Canada) posted a notice to hospitals and physicians on their web site to make them aware of a boil water advisory for Walkerton, and that a suspected agent in the increase of diarrheal cases was E. coli O157:H7.

Walkerton Water Tower

Not a lot of people were using RSS feeds, and I don’t know if the health unit web site had must-visit status in 2000. But Walkerton, a town of 5,000, was already rife with rumors that something was making residents sick, and many suspected

the water supply. The first public announcement was also the Sunday of the Victoria Day or May 24 long weekend and received scant media coverage.

It wasn’t until Monday evening that local television and radio began reporting illnesses, stating that at least 300 people in Walkerton were ill.

At 11:00 a.m., on Tuesday May 23, the Walkerton hospital jointly held a media conference with the health unit to inform the public of outbreak, make the public aware of the potential complications of the E. coli O157:H7 infection, and to tell the public to take necessary precautions. This generated a print report in the local paper the next day, which was picked up by the national wire service Tuesday evening, and subsequently appeared in papers across Canada on May 24.

The E. coli was thought to originate on a farm owned by a veterinarian and his family at the edge of town, a cow-calf operation that was the poster farm for Environmental Farm Plans. Heavy rains washed cattle manure into a long discarded well-head which was apparently still connected to the municipal system. The brothers in charge of the municipal water system for Walkerton were found to add chlorine based on smell rather than something like test strips, and were criminally convicted.

Ultimately, 2,300 people were sickened and seven died. All the gory details and mistakes and steps for improvement were outlined in the report of the Walkerton inquiry, available at http://www.attorneygeneral.jus.gov.on.ca/english/about/pubs/walkerton/.

In Aug. 2016, some 5,500 people in a New Zealand town of 14,000 were sickened with Campylobacter linked to the water supply and three died.

Didn’t chlorinate.

Just like Walkerton, where a drunk employee was found to adjust chlorine levels based on smell, Hawke’s Bay, New Zealand also had some lax procedures.

A panel looking into last year’s outbreak made the first stage of its findings public at Hastings District Court on Wednesday.

It identified several failings by the Hastings District Council, Hawke’s Bay Regional Council and drinking water assessors.

The outbreak in August last year made some 5500 of the town’s 14,000 residents ill with campylobacteriosis. It put 45 in hospital and was linked to three deaths.

The contamination was later found to have entered the town’s drinking water bores. Panel chair Lyn Stevens QC said the outbreak “shook public confidence” in this fundamental service of providing safe drinking water and it raised “serious questions” about the safety and security of New Zealand’s drinking water.

The district and regional councils did not directly cause the outbreak, but their “dysfunctional relationship” and their lack of co-operation resulted in a number of missed opportunities that may have prevented it from occurring.

Knowledge and awareness of aquifer and contamination risks near Brookvale Rd fell below “required standards” and it failed to take effective steps to assess the risk, including the management of the many uncapped or disused bores in the vicinity, and the monitoring of the district council’s resource consent to take the water.

Walkerton redux.

The district council “failed to embrace or implement the high standard of care required of a public drinking-water supplier,” particularly in light of a similar outbreak in the district in 1998, from which it appeared to have learned nothing.

The council’s mid-level managers especially failed, Stevens said. They delegated tasks but did not adequately supervise or ensure implementation of requirements. This led to unacceptable delays in developing the council’s water safety plan which would have been “fundamental in addressing the risks of the outbreak.”

That’s a polite way of saying, people care more about their retirement than others, and often fuck up.

Drinking Water Assessors were also at fault, with Stevens finding they were “too hands off” in applying the drinking water standards.

Sounds like food safety auditors.

They should have been stricter in requiring the district council to comply with responsibilities with its water safety plan, he said.

“They failed to address the [council] sufficiently about the lack of risk assessment and the link between the bores and the nearby pond.”

Nicki Harper of Hawkes Bay Today wrote a high number of positive E. coli readings in the Havelock North and Hastings water supplies over the years, dating back to a 1998 water contamination event similar to last year’s Havelock North campylobacter outbreak, caused bureau-types to do, nothing.

It was confirmed yesterday that the most likely source of the contamination was sheep feces that ran off a paddock following heavy rain on August 5 and 6 into the Mangateretere pond near Brookvale Bore 1.

Water from the pond then entered into the aquifer and flowed across to Bore 1 where it was pumped into the reticulation, Mr Stevens said.

The son of an elderly woman who died shortly after contracting Campylobacter during the Havelock North gastro crisis says she had “good innings” despite her death.

Jean Sparksman, 89, was one of three elderly people whose deaths were linked to the outbreak and had been living in the Mary Doyle retirement village at the time of the crisis.

Speaking from the Whangaparaoa Peninsula in Auckland yesterday, Mrs Sparksman’s son, Keith, said her death shouldn’t have happened the way it did.

“She contracted this bug but there were no steps taken to help. That’s probably why she died in the first place.”

The failures are all too familiar: space shuttle Challenger, Bhopal, BP in the Gulf, Listeria in Maple Leaf cold cuts, Walkerton: the tests said things were not good. But a human condition kicked in: Nothing bad happened yesterday so there is a greater chance of nothing bad happening today.

All these people fucked up, and others got sick.

Yet government, industry and academia will trod along, piling up retirement savings, until the next shitfest comes along.

So just watch this stupid Stones video with Keith out of his mind.

Nothing bad will really happen.

11 kids sickened: Campy from a dairy farm visit in Sweden

In April–May 2014, an outbreak of campylobacteriosis occurred after a preschool visit to a dairy farm in the South Western part of Sweden. During the visit, a meal, including unpasteurized milk, was served.

A retrospective cohort study using a web-based questionnaire was performed among the participants (n = 30) of the farm visit. A total of 24 of the 30 (80%) cohort members completed the questionnaire. Eleven cases were identified, and Campylobacter jejuni was isolated from eight of them. Seven of the cases were 2- to 7-year-old children. We found the highest attack rates among those who usually drink milk (45%) and those who consumed unpasteurized milk during the farm visit (42%). No cases were unexposed (risk ratio incalculable).

As result of the farm investigation, Campylobacter was isolated from cattle on the farm. Genotyping with pulsed-field gel electrophoresis and whole genome sequencing confirmed that human and cattle isolates of C. jejuni belonged to one cluster.

Thus, cattle on the farm are considered the source of infection, and the most likely vehicle of transmission was contaminated unpasteurized milk. We recommend consumption of heat-treated milk only and increased awareness of the risk of consuming unpasteurized milk.

Foodborne Pathogens and Disease, March 2017, Lahti Elina, Rehn Moa, Ockborn Gunilla, Hansson Ingrid, Ågren Joakim, Engvall Eva Olsson, and Jernberg Cecilia, ahead of print. doi:10.1089/fpd.2016.2257.

http://online.liebertpub.com/doi/abs/10.1089/fpd.2016.2257

A table of petting zoo outbreaks is available at http://barfblog.com/wp-content/uploads/2014/04/Petting-Zoo-Outbreaks-Table-4-8-14.xlsx.

Best practices for planning events encouraging human-animal interactions

Zoonoses and Public Health 62:90-99, 2015

G. Erdozain , K. KuKanich , B. Chapman  and D. Powell

http://onlinelibrary.wiley.com/doi/10.1111/zph.12117/abstract?deniedAccess

Educational events encouraging human–animal interaction include the risk of zoonotic disease transmission. It is estimated that 14% of all disease in the US caused by Campylobacter spp., Cryptosporidium spp., Shiga toxin-producing Escherichia coli (STEC) O157, non-O157 STECs, Listeria monocytogenes, nontyphoidal Salmonella enterica and Yersinia enterocolitica were attributable to animal contact. This article reviews best practices for organizing events where human–animal interactions are encouraged, with the objective of lowering the risk of zoonotic disease transmission.

 

 

6 sick with Campy linked to raw milk in UK

Six cases of campylobacter have so far been linked to people consuming unpasteurised milk from Low Sizergh Barn Farm in Kendal.

low-sizergh-barn-farm-in-kendalSouth Lakeland Council said it had launched a joint investigation with the Food Standards Agency (FSA).

The farm said it was co-operating with the inquiry and had suspended sales of raw milk from a vending machine.

Public Health England (PHE) also asked anyone who had bought raw milk from the farm or visited its tearoom in the past two months to complete an online questionnaire.

The farm, which began offering unpasteurised milk from its vending machine in March, sells about 70 litres a day.

In August the farm won a National Trust fine farm produce award for its unpasteurised milk.